超声技术在移植肾急性排斥反应中的应用价值  

The Application Value of Ultrasound Technology in Acute Renal Allograft Rejection

作　　者：王露[1] 朱建平[2] 蒋彦 

机构地区：[1]福建医科大学福总临床学院超声诊断科,福州350025 [2]南京军区福州总医院超声诊断科,福州350025

出　　处：《医学综述》2014年第2期262-264,共3页Medical Recapitulate

基　　金：福建省科技计划重点项目(2009Y0043)

摘　　要：移植肾急性排斥反应是移植肾术后主要的并发症之一,其发病症状隐匿,且与急性肾小管坏死临床表现相似,增加了诊断难度;同时,由于不同病理类型的急性排斥反应治疗不同,因此若能早期发现、正确诊断并合理治疗,将对移植肾患者预后有极大的帮助。目前超声检查为移植肾术后监测的常用手段,包括二维超声、多普勒超声、三维超声及声学造影。二维超声及多普勒超声在定性水平观察移植肾的肾内灌注情况。三维超声测量更为精确,能够同时获得相关血管容积参数,为半定量指标。声学造影对血流灌注具有高度敏感性,是定量指标。三维超声及声学造影可能在急性排斥的诊断及鉴别上具有更好的应用前景。The acute rejection is one of the complications after renal transplantation, which has obscure symp- toms, and difficult to differentiate from acute tubular necrosis. Pathological type determines treatment options. So, early detection, timely examination and appropriate treatment will bring great help to the patients. Ultrasound is the most popular method for monitoring after renal transplantation, including two-dimensional ultrasound, Doppler ultra- sound, three-dimensional ultrasound and contrast-enhanced ultrasound, which evaluate renal function from qualita- tive, semi-quantitative and quantitative level, respectively. Three-dimensional ultrasound and contrast-enhanced ultrasound may have better prospect of application in terms of the diagnosis and differential diagnosis.

关 键 词：移植肾 急性排斥反应 超声 

分 类 号：R445.1[医药卫生—影像医学与核医学] R692[医药卫生—诊断学]